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Cited by 87Substance Abuse Treatment and OutcomesHealth Systems, Economic Evaluations, Quality of LifeGlobal Public Health Policies and Epidemiology

Comparative cost-effectiveness of policy instruments for reducing the global burden of alcohol, tobacco and illicit drug use

CHISHOLM, DAN, DORAN, CHRIS, SHIBUYA, KENJI, REHM, JÜRGEN·2006·Drug and Alcohol Review
DOI 10.1080/09595230600944487
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Abstract

Alcohol, tobacco and illicit drug use together pose a formidable challenge to international public health. Building on earlier estimates of the demonstrated burden of alcohol, tobacco and illicit drug use at the global level, this review aims to consider the comparative cost-effectiveness of evidence-based interventions for reducing the global burden of disease from these three risk factors. Although the number of published cost-effectiveness studies in the addictions field is now extensive (reviewed briefly here) there are a series of practical problems in using them for sector-wide decision making, including methodological heterogeneity, differences in analytical reference point and the specificity of findings to a particular context. In response to these limitations, a more generalised form of cost-effectiveness analysis (CEA) is proposed, which enables like-with-like comparisons of the relative efficiency of preventive or individual-based strategies to be made, not only within but also across diseases or their risk factors. The application of generalised CEA to a range of personal and non-personal interventions for reducing the burden of addictive substances is described. While such a development avoids many of the obstacles that have plagued earlier attempts and in so doing opens up new opportunities to address important policy questions, there remain a number of caveats to population-level analysis of this kind, particularly when conducted at the global level. These issues are the subject of the final section of this review.

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  • A broad array of patient-level alcohol harm reduction interventions, including brief interventions, psychosocial interventions, and pharmacological treatments, have been found to be effective in high-resource settings.

    “A broad array of patient-level alcohol harm reduction interventions, such as brief interventions (for this paper, defined as any intervention ranging from advice to counseling, lasting less than 1 hour per session [7] up to 4 sessions [8], psychosocial interventions, and pharmacological treatments) have been found to be effective in high-resource settings [9,10].”

    From Patient-level interventions to reduce alcohol-related harms in low- and middle-income countries: A systematic review and meta-summary (2022) · cites this paper as [9]

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Authors
CHISHOLM, D., DORAN, C., SHIBUYA, K., & REHM, J.
Affiliations
  • World Health Organization (CH)
  • Centre for Addiction and Mental Health (CA)
Corresponding author
CHISHOLM, DAN
ORCID
Venue
Drug and Alcohol Review
Publisher
Wiley
Published
2006-11
Volume
25
Issue
6
Pages
553-565
ISSN
0959-5236 (ISSN-L)
DOI
10.1080/09595230600944487
OpenAlex
W2162064599
Cited by
86
References
48
Citations by year
2025: 2 · 2024: 1 · 2022: 15 · 2021: 5 · 2020: 2 · 2019: 5 · 2018: 2 · 2017: 5 · 2016: 6 · 2015: 5 · 2014: 6 · 2013: 7 · 2012: 5
FWCI
3.40
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Drug and Alcohol Review (publishedVersion)
  • PubMed (publishedVersion)
  • Institutional Repositories DataBase (IRDB) (submittedVersion)
  • Research Portal (King's College London) (submittedVersion)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
  • Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Global Public Health Policies and Epidemiology
Keywords
cost-effectiveness, alcohol consumption, tobacco use, illicit drug use, global burden of disease, policy instruments, preventive interventions, individual-based interventions, drugs of abuse, public health decision-making, methodological heterogeneity
MeSH terms
Alcohol Drinking, Cost-Benefit Analysis, Decision Making, Developing Countries, Female, Humans, Male, Mental Health Services, Public Policy, Illicit Drugs, Tobacco Use Disorder, Cost of Illness, Sex Distribution, Developed Countries, Substance-Related Disorders

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